Open research questions in Cultural Competency in Health Care
312 gap statements mined from Cultural Competency in Health Care papers in our 7.9M-paper local library, which holds 3,049 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
Although future research is needed to understand the long-term effects of the intervention, the REACH app appears to be positioned to indirectly support the readiness of Service members and their families.
From App to Impact: Helping Professionals’ Perceptions of the Effectiveness of an App-Based Military Cultural Competence Training · 2026 · DOIOne of the challenges identified is the habitual, non-conscious, and largely unacknowledged nature of white privilege. Another challenge is the lack of commitment to addressing white privilege in health care settings over time. The review also highlights the challenge of ensuring sustained efforts to address white privilege in health care settings.
Limited understanding of the patient's perspective on racial disparities in surgical care. Lack of knowledge on the mechanisms contributing to disparities in hand surgery utilization.
Understanding Barriers to Surgical Care: A Qualitative Study of Black Individuals With Hand Dysfunction · 2026 · DOIThe paper identifies a gap in the existing literature on the delivery of culturally competent care to migrants, highlighting the need for longitudinal studies and the development of robust metrics. It also identifies a need for targeted strategies to overcome the digital divide and ensure data privacy.
Delivering Culturally Competent Care to Migrants by Healthcare Personnel: A Crucial Aspect of Delivering Culturally Sensitive Care · 2024 · DOIRecommendations for Further Research Based on the findings and limitations of this study, future research should expand its geographical scope to include all nine RCCs and their associated 74 organ transplant centers across Turkiye, ensuring a more comprehensive understanding of regional variations in cultural barriers.
What sets this study apart is its focus on nurses working in public primary care settings, including culturally diverse and migrant-rich regions—an area that remains underexplored in the literature.
Cultural Competence and Ethics Among Nurses in Primary Healthcare: Exploring Their Interrelationship and Implications for Care Delivery · 2025 · DOIIn doing so, the study addresses a critical gap in the literature regarding the integrated role of cultural competence and ethical awareness in nursing care delivery.
Cultural Competence and Ethics Among Nurses in Primary Healthcare: Exploring Their Interrelationship and Implications for Care Delivery · 2025 · DOIGeneralisation is limited to associations in this professional sample, and every proposed healthcare pathway requires direct testing.
Origin-Based Social Distance Among Nurses in Croatia: Implications for Migrant-Sensitive Healthcare Delivery · 2026 · DOIComprehensive knowledge, skills development, and assessment tools in these areas are lacking in pharmacy education.
From Awareness to Action: Increasing Health Equity by Addressing Cultural and Structural Barriers in Pharmacy Practice, Education, and Research · 2026 · DOIResearch projects focused on health inequities and disparities are limited by their lack of statistical power, lack of inclusiveness of diverse populations, community partners, and researchers, and lack of rigorous study designs to conclusively document and resolve these problems.
From Awareness to Action: Increasing Health Equity by Addressing Cultural and Structural Barriers in Pharmacy Practice, Education, and Research · 2026 · DOIPrimary care providers (PCPs) have a responsibility to care for patients with refugee backgrounds, often treating unfamiliar diseases and addressing culturally rooted concerns for which the provider has limited knowledge.
A Qualitative Analysis of the Experiences, Attitudes, Preparation, and Barriers of Primary Care Providers Related to Their Care for Patients With Refugee Backgrounds · 2026 · DOIIt is important to note the limited evidence supporting the effectiveness of the identified practices.
Evidence is growing to support why a racially diverse midwifery workforce is needed; however, very few studies have examined how this should occur.
Understanding Perspectives of Midwifery Education from Black and Indigenous Community Stakeholders: “We're Working in a System That Was Not Intended for Us” · 2025 · DOIDespite increased attention to disparities in perinatal outcomes, including stillbirth, very little is known about the way conversations about stillbirth prevention are occurring within pregnancy care.
Conversations about stillbirth prevention during pregnancy care from the perspectives of recent parents of refugee and migrant backgrounds, health professionals, and interpreters: A qualitative study · 2025 · DOIHowever, there is a lack of consensus on the best way to develop students' cultural competence.
Nursing Students' Enhanced Cultural Competence After Study Abroad: A Mixed-Methods Study · 2025 · DOIThe outcome of HCD activities is also specific to a given problem at a given institution at a given time and may or may not be generalizable; however, generally, HCD tools, such as stakeholder and journey mapping or idea-generating and idea-selecting activities, have the potential to solve complex challenges, including how we might provide racially equitable patient care.
The Center engages Tulane University faculty, students, and global partners to lead innovative research initiatives that examine health equity in Latin America and the Caribbean, provide visibility for the region’s under-recognized health inequities, and inform policies to address the needs of the region’s underserved populations.
The pervasiveness of racism in healthcare facilities in Latin America: a scoping review · 2026 · DOIIf one of your friends is planning to move here next year, what advice would you wish to give him/her?
Surviving the glocal ecosystem: Academic dissonance, cultural adaptation, and coping among international medical students in the Caribbean · 2026 · DOIHealth equity content was identified in many of the 197 course documents; however, the amount of content varied widely, and important areas to be strengthened were identified.
Health Equity in Undergraduate Prelicensure Nursing Education: Curricular Document Analysis · 2026 · DOIAlthough evidence supports short-term study abroad, few studies have used a mixed-methods theory-driven design.
Nursing Students' Enhanced Cultural Competence After Study Abroad: A Mixed-Methods Study · 2025 · DOIThis study draws on interviews with a diverse group of SRH professionals, including physicians, midwives, nurses, and social workers, which enabled a multifaceted analysis of care practices in multicultural settings.
Challenges and strategies in the multicultural sexual and reproductive healthcare encounter - a qualitative study on the perspectives of health professionals · 2026 · DOIThe search was limited to English-language work, - The study was based on a scoping review of existing literature, - The study did not include non-intervention-based literature, - The study excluded clinical case studies and opinion-based…
Inequalities in service provision for culturally diverse populations represent a common thread throughout the Australian and international mental health literature.
Cultural Humility Training in Mental Health Service Provision: A Scoping Review of the Foundational and Conceptual Literature · 2025 · DOIFurther research is needed to understand the mechanisms that drive racial disparities in surgical treatment, - Research should focus on increasing screening for social determinants of health, including transportation services, - Studies should investigate strategies to address disparities in access to high-quality healthcare…
Understanding Barriers to Surgical Care: A Qualitative Study of Black Individuals With Hand Dysfunction · 2026 · DOIPostpartum care varies widely across cultures, yet research on ethnic minorities, especially Asian American Pacific Islanders subgroups, often masks meaningful differences among ethnic subpopulations.
Most-cited papers in Cultural Competency in Health Care
- Defining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health Care · Public Health Reports · 2003 · 1,708 citations
- Structural competency: Theorizing a new medical engagement with stigma and inequality · Social Science & Medicine · 2014 · 1,582 citations
- An Adaptation of Brislin???s Translation Model for Cross-cultural Research · Nursing Research · 2001 · 685 citations
- Cultural adaptations of behavioral health interventions: A progress report. · Journal of Consulting and Clinical Psychology · 2012 · 670 citations
- Potential barriers to the use of health services among ethnic minorities: a review · Family Practice · 2006 · 585 citations
- Culturally competent healthcare systems · American Journal of Preventive Medicine · 2003 · 572 citations
- Cultural Health Capital · Journal of Health and Social Behavior · 2010 · 525 citations
- Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis. · Journal of Counseling Psychology · 2011 · 502 citations
- Building an Inclusive Diversity Culture: Principles, Processes and Practice · Journal of Business Ethics · 2004 · 483 citations
- The Case for Cultural Competency in Psychotherapeutic Interventions · Annual Review of Psychology · 2008 · 447 citations
Most recent work
- Leveraging AI simulations for enhancing cultural responsiveness and interprofessional collaboration in health professions education · Nurse Education in Practice · 2026
- Co‐Designing a Peer Navigator Role to Improve Equity in Healthcare Access for Pacific Islander, Māori and Arabic Communities in Australia · Health Expectations · 2026
- Something old, something borrowed, something new: frameworks to guide cultural adaptations and their documentation in aphasia treatments · Aphasiology · 2026
- Cultural Competence in Nursing Care for Migrants: An Integrative Review · International Nursing Review · 2026
- Cultural Adaptations of Healthcare Interventions: A Step‐by‐Step Guide · Health Expectations · 2026
- Advancing Knowledge Translation Through Cultural Adaptation of an Intervention for Latino Family Caregivers of Persons Living With Dementia Using Participatory Action Research · International Journal of Nursing Practice · 2026
- Beyond the biopsychosocial: why psychiatry needs anthropology · The British Journal of Psychiatry · 2026
- Belonging Without Controversy: Using Self-Determination Theory to Reframe Inclusion in Medical Education · Teaching and Learning in Medicine · 2026
- Team climate, job satisfaction, cultural competence, and intention to stay among healthcare professionals: a descriptive cross-sectional survey study · BMC Health Services Research · 2026
- How are nurses’ individual and their colleagues’ diversity factors associated with their cooperation behaviors in teams? - Results of an online factorial survey · BMC Nursing · 2026
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